Use a Summon

You defeated Princess Kenny while living with Dire AIDS.

You've unlocked all of the upgrades for a New Kid ability.

You defeated 20 enemies using Cartman's Ass.

Keep an Ally alive for an entire combat while they take twice their max Health in damage

Confuse or charm an enemy into defeating another enemy

Become mutual followers with 10 people in South Park

Use a toilet and achieve the highest mastery level

You've farted on every buddy in the game.

You farted on 10 enemies in the world that were knocked out.

You befriended the Goths, like everyone else playing this game.

Over the course of the game, you've scored 100 perfect attacks.